Individual
MATTHEW PETER ITHURBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1404 E AVALON AVE STE B2, TUSCUMBIA, AL 35674-1771
(256) 978-4001
(256) 978-4002
Mailing address
199 N BROOKMOORE DR, COLUMBUS, MS 39705-2024
(662) 327-6705
(662) 327-6760
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH8583
AL
Other
Enumeration date
01/31/2018
Last updated
01/31/2018
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